Clinical Analysis of 3 Patients with Uterine Hemangioma Misdiagnosed As Having Dysfunctional Uterine Bleeding

YIN Jia-yao; YANG Ying; YE Zhi-hui; WU Tian-hui; XU Xing-yan; ZHANG Min

doi:10.3969/j.issn.1002-3429.2017.11.009

Abstract：Objective To investigate clinical characteristics and preventive measures of uterine hemangioma misdi-agnosed as dysfunctional uterine bleeding. Methods Clinical data of 3 patients with uterine hemangioma misdiagnosed as dysfunctional uterine bleeding was retrospectively analyzed. Results Three patients were admitted for dizziness, palpitation and nausea combined with a large number of irregular bleeding in vagina for more than 3 h, more than 6 months of increased menstruation and 3 h of irregular bleeding in the vagina. After admission, no abnormality was found by examinations such as urine pregnancy test, color Doppler, hysteroscopy and blood clotting function, was and then dysfunctional uterine bleeding was diagnosed. The patients ' conditions were not obviously relieved after corresponding treatment. The uterine hemangioma was confirmed after review of color Doppler ultrasound or 3d vaginal color Doppler ultrasound and color Doppler flow imaging com-bined with history and clinical manifestations. Two patients were treated with bilateral uterine arteriography combined with right uterine artery embolization, and 1 patient was treated with hysteroscope-guided vaginal hysterectomy. No vaginal bleeding was observed in 3 patients after operation by postoperative 1 week of observation, and the patients were discharged. Now 2 pa-tients had been returned to normal menstruation for 2 and 3 times. Conclusion Clinical manifestations of uterine angioma are irregular bleeding in vagina and lack of specificity, and therefore it is easily be misdiagnosis as dysfunctional uterine bleeding. The diagnosis rate of the disease can be improved by improving the understanding, reasonablely using examinations such as ul-trasonography, hysteroscopy and angiography.